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Humana is seeking a hands-on technology leader to drive enterprise integrations interoperability and clinical data platform initiatives across payer and provider ecosystems.

As the Director Technology Solutions - Integrations and Clinical Data Platform you will lead modernization efforts leveraging cloud data analytics AI and automation to improve operational efficiency scalability and healthcare outcomes.

Key Responsibilities

• Lead enterprise integrations across APIs HL7 FHIR EDI/X12 and Epic ecosystems.

• Drive architecture and delivery for clinical and healthcare data platforms using Databricks and Snowflake.

• Provide technical leadership for Epic Tapestry and preferably Compass Rose integrations.

• Support healthcare operations including Utilization Management (UM) Care Management (CM) HEDIS STAR Ratings and Value-Based Care initiatives.

• Leverage AI automation and analytics to streamline workflows and improve operational performance.

• Partner with business clinical and technology leaders to define scalable AI-first solutions.

• Lead engineering teams architecture decisions and vendor engagements.

Use your skills to make an impact

Required Qualifications

• 15 years of healthcare technology leadership experience.

• Deep experience with Epic Tapestry; Compass Rose preferred.

• Strong hands-on expertise with Databricks Snowflake APIs HL7 FHIR and healthcare interoperability.

• Experience supporting payer and clinical workflows including UM CM HEDIS and STAR programs.

• Proven experience leveraging analytics automation and AI within healthcare operations.

• Strong leadership communication and execution skills.

Preferred Qualifications

• Experience with Medicare Advantage commercial payer environments and Value-Based Care.

• Cloud platform experience (Azure AWS or GCP).

• Experience leading large-scale healthcare transformation initiatives.

Additional Information

Work Style: This positions work style is remote from any of the locations listed below. You must reside in close proximity to one of these locations.

Market Location Options:

• Louisville KY

• Dallas/Frisco TX

• Washington DC (Arlington VA)

• Chicago IL

• Fort Lauderdale FL

• Tampa FL

• New York NY

• Boston MA

• Atlanta GA

• Nashville TN

• Charlotte NC

Reporting Structure: You will report to an Associate VP Technology Solutions

Why Humana

At Humana we know your well-being is important to you and its important to us too. Thats why were committed to making resources available to you that will enable you to become happier healthier and more productive in all areas of your to name a few:

• Work-Life Balance

• Generous PTO package

• Health benefits effective day 1

• Annual Incentive Plan

• 401K -Excellent company match

• Well-being program

• Paid Volunteer Time Off

If you share our passion for helping people we likely have the right place for you at Humana.

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates ability to work effectively the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless wired cable or DSL connection is suggested

• Satellite cellular and microwave connection can be used only if approved by leadership

• Associates who live and work from Home in the state of California Illinois Montana or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

SSN Alert Statement

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number if it is not already on file. When required an email will be sent from with instructions on how to add the information into your official application on Humanas secure website.

Travel: While this is a remote position occasional travel to Humanas offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.

$172200 - $236900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits Humana provides medical dental and vision benefits 401(k) retirement savings plan time off (including paid time off company and personal holidays volunteer time off paid parental and caregiver leave) short-term and long-term disability life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid families individuals military service personnel and communities at large. Learn more about what we offer .

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status. It is also the policy of Humana to take affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA to employ and to advance in employment individuals with disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.